NPI | 1578876355 |
---|---|
Former Legal Business Name | SANSA HEALTH CARE |
Entity Type | Organization |
Authorized Contact | TYRON CLEON REECE Medical Doctor 310-330-0240 |
Organization Subpart ? | No |
Primary Taxonomy | 208D00000X General Practice (Licence: CA A31509) |
Additional Taxonomies | 207Q00000X Family Medicine |
Enumeration Date | 2010-07-21 |
Last Update Date | 2010-10-12 |